2018 Patient Satisfaction Survey

Positive Impact Health Centers (PIHC) believes in patient-centered care that is both respectful and responsive to individual patient needs, and one way we can make sure we’re providing quality care is by hearing from you. Please take a moment to complete this questionnaire to let us know how we’re doing.

This is an anonymous survey, so none of the feedback you give will be connected or identifiable to you. Please know that you are not required to complete this survey and none of your services will be affected if you decline to complete it.

By completing this survey, you agree to let us use your provided feedback to enhance our services.

Question Title

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1.Please think about the services you get from us and rate how much you agree with the below statements.If you receive more than one services, please think about your overall experience as a client at PIHC:

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Not Applicable

I feel welcome at PIHC

I feel welcome at PIHC Strongly Agree

I feel welcome at PIHC Agree

I feel welcome at PIHC Neutral

I feel welcome at PIHC Disagree

I feel welcome at PIHC Strongly Disagree

I feel welcome at PIHC Not Applicable

I feel safe at PIHC

I feel safe at PIHC Strongly Agree

I feel safe at PIHC Agree

I feel safe at PIHC Neutral

I feel safe at PIHC Disagree

I feel safe at PIHC Strongly Disagree

I feel safe at PIHC Not Applicable

Front desk staff treat me with respect

Front desk staff treat me with respect Strongly Agree

Front desk staff treat me with respect Agree

Front desk staff treat me with respect Neutral

Front desk staff treat me with respect Disagree

Front desk staff treat me with respect Strongly Disagree

Front desk staff treat me with respect Not Applicable

I feel like I get helpful answers to the questions that I ask

I feel like I get helpful answers to the questions that I ask Strongly Agree

I feel like I get helpful answers to the questions that I ask Agree

I feel like I get helpful answers to the questions that I ask Neutral

I feel like I get helpful answers to the questions that I ask Disagree

I feel like I get helpful answers to the questions that I ask Strongly Disagree

I feel like I get helpful answers to the questions that I ask Not Applicable

I feel like a member of my care team

I feel like a member of my care team Strongly Agree

I feel like a member of my care team Agree

I feel like a member of my care team Neutral

I feel like a member of my care team Disagree

I feel like a member of my care team Strongly Disagree

I feel like a member of my care team Not Applicable

I feel like PIHC staff care about my health and wellbeing

I feel like PIHC staff care about my health and wellbeing Strongly Agree

I feel like PIHC staff care about my health and wellbeing Agree

I feel like PIHC staff care about my health and wellbeing Neutral

I feel like PIHC staff care about my health and wellbeing Disagree

I feel like PIHC staff care about my health and wellbeing Strongly Disagree

I feel like PIHC staff care about my health and wellbeing Not Applicable

I was able to reach somebody who could help me when I called

I was able to reach somebody who could help me when I called Strongly Agree

I was able to reach somebody who could help me when I called Agree

I was able to reach somebody who could help me when I called Neutral

I was able to reach somebody who could help me when I called Disagree

I was able to reach somebody who could help me when I called Strongly Disagree

I was able to reach somebody who could help me when I called Not Applicable

*For patients who access more than one service at PIHC*

*For patients who access more than one service at PIHC* Strongly Agree

*For patients who access more than one service at PIHC* Agree

*For patients who access more than one service at PIHC* Neutral

*For patients who access more than one service at PIHC* Disagree

*For patients who access more than one service at PIHC* Strongly Disagree

*For patients who access more than one service at PIHC* Not Applicable

I feel like I receive coordinated care

I feel like I receive coordinated care Strongly Agree

I feel like I receive coordinated care Agree

I feel like I receive coordinated care Neutral

I feel like I receive coordinated care Disagree

I feel like I receive coordinated care Strongly Disagree

I feel like I receive coordinated care Not Applicable

1a. If you selected “disagree” or “strongly disagree” to any of the above statements, please briefly tell us why:

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2.PIHC staff is sensitive to: (please select all that apply)

My cultural background

Issues related to my HIV status

My sexual orientation

None of the above

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3.If there is one thing PIHC can do to improve our services, what would it be?

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4.Would you recommend PIHC to others?

Yes

No

Please explain why or why not.

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5.Do you experience any barriers that prevent you from getting the care you need at PIHC?